Individual
DR. HUNDAOL SHAMSAN YADETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 O ST NW, WASHINGTON, DC 20037-1008
(609) 585-1122
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33306
WV
207R00000X
Internal Medicine Physician
Primary
35.148408
OH
207R00000X
Internal Medicine Physician
Primary
MD600005574
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598384307
—
WV
Enumeration date
04/11/2020
Last updated
04/13/2026
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